Show Your Liver Some Love With Foods That Lower ALT Liver Enzymes
The liver is a football-sized organ in the abdomen responsible for processing nutrients and waste products from the blood. Alanine aminotransferase, or ALT, is an enzyme the liver releases in response to damage or disease. ALT is measured on routine liver function tests 2. Damage to liver cells will release higher than normal levels of these enzymes into your blood stream, where they are measured. Elevated liver enzymes may indicate inflammation in the liver or liver disease, such as nonalcoholic steatohepatitis (NASH), fatty liver or cirrhosis 3. Modifying your food choices may help lower ALT, indicating a well managed and healthy liver.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Foods to Promote Healthy Liver
A nutrient-rich, plant-based diet is recommended to treat elevated liver enzymes. You should include a variety of whole grains, fruits, vegetables and low-fat dairy products in your diet since they are rich in vitamins and antioxidants and low in fat. Berries, green leafy vegetables, peas, potatoes, oranges and beans are excellent sources of fiber, which has also been shown to help normalize liver enzymes. Balance your meals with smaller amounts of lean meats and plant fats such as olive oil and nuts.
- A nutrient-rich, plant-based diet is recommended to treat elevated liver enzymes.
- You should include a variety of whole grains, fruits, vegetables and low-fat dairy products in your diet since they are rich in vitamins and antioxidants and low in fat.
Avoid High-Fat Foods
Foods Known to Damage the Liver
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Limit high-fat foods, especially those coming from animal sources. Higher-fat foods increase fat levels in the blood, which may be deposited in the liver and cause the damage that raises ALT. High-fat meats include bacon, sausage, bologna, salami and hot dogs. Choose lower fat dairy products instead of whole milk, full-fat yogurt and ice cream. Eggs and cheese should be eaten in moderation. Limit restaurant foods, which also tend to be hidden sources of large quantities of fat.
- Limit high-fat foods, especially those coming from animal sources.
- Limit restaurant foods, which also tend to be hidden sources of large quantities of fat.
Drugs, Toxins, Medication Stress Liver
Alcohol and certain medications may cause further liver damage. It is best to avoid alcohol completely and eliminate any medications that are not necessary. Ask your doctor about the medications you are taking or are planning to take, including over-the-counter drugs and supplements.
Other Strategies to Lower ALT
Free List of Healthy Low-Fat Foods
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Elevated liver enzymes and certain liver diseases, such as NASH and fatty liver, occur most often in persons who are overweight or obese. A primary strategy for improving liver enzymes is to reduce weight through a balanced diet and exercise. Aim for at least 30 minutes of aerobic activity daily. If you have not been exercising routinely, start slowly and increase the time and intensity of your activity slowly.
- Elevated liver enzymes and certain liver diseases, such as NASH and fatty liver, occur most often in persons who are overweight or obese.
- If you have not been exercising routinely, start slowly and increase the time and intensity of your activity slowly.
Related Articles
References
- American Liver Foundation: Ways You Can Take Care of Your Liver
- Mayo Clinic: Liver Function Tests
- Mayo Clinic: Liver Problems
- Cleveland Clinic. Cirrhosis of the Liver. Reviewed January 11, 2019.
- David S, Hamilton JP. Drug-induced Liver Injury. US Gastroenterol Hepatol Rev. 2010;6:73–80.
- American Liver Foundation. Medications.
- Cleveland Clinic Health Essentials. Is Acetaminophen Safe to Take When You're Drinking? Published December 19, 2017.
- University of Michigan, Michigan Medicine. Methyldopa. Revised September 17, 2018.
- Elsevier Science Direct. Hypervitaminosis A. Published 2015.
- National Center for Biotechnology Information, U.S. National Library of Medicine. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury: Vitamin A. Updated December 3, 2013.
- National Center for Biotechnology Information, U.S. National Library of Medicine. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury: Niacin. Updated February 2, 2014.
- Amathieu R, Levesque E, Merle JC, et al. Insuffisances hépatiques aiguës sévères d'origine toxique : prise en charge étiologique et symptomatique [Severe toxic acute liver failure: etiology and treatment]. Ann Fr Anesth Reanim. 2013;32(6):416–421. doi:10.1016/j.annfar.2013.03.004
- Devarbhavi H. An Update on Drug-induced Liver Injury. J Clin Exp Hepatol. 2012;2(3):247–259. doi:10.1016/j.jceh.2012.05.002
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Writer Bio
Elizabeth Patton is a Clinical Dietitian and Certified Diabetes Educator who has been writing since 2005. Her work has been published in the "Murray Ledger & Times," "Clinical Skill Builder for Food and Nutrition" and she is editor of Saint Anthony’s Medical Center's diabetes e-newsletter and blog. Patton holds a Master of Science in nutrition from Murray State University.